Individual
MICHAEL ANTHONY GOMEZ-MONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 MOONGLOW AVE, ALAMOGORDO, NM 88310-3339
(602) 549-1105
Mailing address
205 MOONGLOW AVE, ALAMOGORDO, NM 88310-3339
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9624A
AZ
225200000X
Physical Therapy Assistant
A-0899
NM
Other
Enumeration date
12/06/2015
Last updated
12/06/2015
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